Hi @bronwen.shepherd - my understanding of the signature exempt functionality is that the MoH have come out with a second set of specifications (considerations including how does a pharmacist identify the patient when they walk in without a piece of paper - not sure that had been considered in full prior to the testing)
These were released yesterday
For any system using ePS there is going to be an amount of development required - this will have an impact on any release of this kind of functionality in a timely way
On a good note we LOVE electronic prescribing for all the reasons @jan.goddard already mentioned!
We’ve got ePS here and we love it
Agree with the ‘tidying up prescriptions’ part of it - but the way indici’s granular prescribing works means that things are (mostly) written out in full patient friendly language - and the favourites section is great
The main reasons our prescribers like it is for not having to write out the triplicate CD form
best part of ePs is the matching of dispensed meds to the prescribed - a few times I day I open up the little + and check what was dispensed against the script. really helps when doses changed and swapping of brands, still waiting for a little picture to see what was the little yellow pill that was changed…
Not on MT - have full e scripts and can use for opiods etc, and send to ZOOM pharmacy competly paperless - weird feeling at first… whole clinics completely paperless.
ready helpful for asynchronous comms but for video - think the best option would be for virtual drop in clinic for online consults …. anyone working on a USB based covid diagnosis kits?
Still waiting for the Zoom MMH integration. Promised by Zoom a while back. A bit conflicted tho - I like having a local pharmacist to pick up my mistakes and I like having building not boarded up in the village.
The Zoom app re pill reminders and photos and meds information very useful though.
During next few weeks-months, until digital solutions are sorted, our clinic with the nearest pharmacy 1 + hour drive away, has always operated on fax/courier systems, with the current benefit of reducing pharmacy-related community viral spread. Though this is likely a minor source of community outbreak (e.g., patients taking scripts to pharmacy, then receiving dispensed), with increasing home isolation, this may become a process that is forced on many.
The primary learning we’ve had in the last 12 months of reviewing our fax/courier system, is the importance of having a single-point of fax/communication with pharmacy. This single-point-person (generally 1 of the receptionists), then manual records on a daily chart each script that has been faxed, and where the medicines are supposed to be delivered too. The pharmacy, at the end of the day, receives a fax of this sheet, and is supposed to verify they’ve received the scripts and fax back the verification.
The importance of this has been a marked reduction in phone calls from patients not receiving any/all of the medicines in the days post prescription, and from the pharmacy looking for scripts (we can refer to their verified chart and tell them they already verified they’d received it!).
Though this single-point-of-contact has had a big impact for the inefficiencies of tracking down missing medicines, we can’t wait for a digital solution! In process-mapping our manual process, where patients don’t take the paper-script themselves to a pharmacy, a paper script is handled by an incredible number of people (6 +) so it is no wonder errors abounded.
thanks for sharing this. Often it is the tried and true local and simple approaches that are best, especially when the local pharmacy and medical team work together closely.
I suppose other local pharmacy-Medical links will result from locals problem solving in a way that best suits their community.
Hey All,
Can I ask if anybody has experience with Indicie’s prescribing solution - specifically for DHBs? The product blurb looks good, including NZEPs integration, NZULM lookup and interaction/drug info via NZF and special authority/controleld meds prescribing. The central region is looking at ways to get outpatient prescribing working and this seems to offer many of the funcitons we are seeking.
Cheers
Mat Bailey
Hi Matt
Sorry just seen this. I use Indici in general practice and find the prescribing really good. I also understand that they are working to tailor it more for the secondary care setting. Any specific questions I could help with?
)